| NPI | 1619119864 |
|---|---|
| Doing Business As | SUWS ADOLESCENT & YOUTH PROGRAMS |
| Entity Type | Organization |
| Authorized Contact | KATHY REX Executive Director 208-886-2565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: ID 25860) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-02 |