| NPI | 1588685192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE JOHNSON Executive Director 208-343-3688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |