| 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 |