| NPI | 1588994222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA MARIA JONES Office Manager 208-522-0140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2010-01-28 |