NPI | 1477605806 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA MADREE MILES General Partner 208-964-4879 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 251B00000X Case Management |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2007-01-17 |
Last Update Date | 2010-02-12 |