NPI | 1487943304 |
---|---|
Entity Type | Organization |
Authorized Contact | JULI A BARDSLEY Owner 208-639-8839 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID 4452) |
Enumeration Date | 2011-03-31 |
Last Update Date | 2011-03-31 |