| NPI | 1568887404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM D WEBB Executive Director 208-946-6960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MT 29) |
| Enumeration Date | 2014-03-02 |
| Last Update Date | 2014-03-02 |