| NPI | 1619231784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE CHENEY Business Manager 208-475-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: ID M7357) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |