| NPI | 1649539495 |
|---|---|
| Doing Business As | LATINO STAND UP LLC |
| Entity Type | Organization |
| Authorized Contact | ROGER T HORNE Owner 208-346-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 163W00000X Registered Nurse | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2013-05-20 |