| NPI | 1649607250 |
|---|---|
| Doing Business As | SANCTUARY NTC |
| Entity Type | Organization |
| Authorized Contact | TYRONE SHUMAN Owner 208-417-0623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2023-09-11 |