| NPI | 1528601440 |
|---|---|
| Doing Business As | THE BRICK HOUSE |
| Entity Type | Organization |
| Authorized Contact | PATRICIA MARTELLE Program Development Director 208-433-8845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |