| NPI | 1548585458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J BOYCE Director 208-238-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363A00000X Physician Assistant | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2025-05-28 |