| NPI | 1588199277 |
|---|---|
| Doing Business As | PRIDE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | DANE M. MULLEN Owner/Operator 208-899-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |