NPI | 1508636770 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELE MARIE ELSBREE Clinical Social Worker 208-243-9152 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-01-08 |
Last Update Date | 2024-10-01 |