| NPI | 1477946713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY HOYT Human Resources Manager 208-529-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: ID LPC-5691) |
| Additional Taxonomies | 251B00000X Case Management (Licence: ID LSW-29915) |
| 251S00000X (Licence: UT 138645-3503) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: ID LPC-5691) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: UT 138645-6006) | |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |