| NPI | 1528271897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBI JO BOYD Owner 208-904-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: ID LCPC-3191) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |