NPI | 1548089261 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWN LAPRAY CEO 208-360-1886 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-10-09 |
Last Update Date | 2024-11-04 |