| NPI | 1689068454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW F SMITH Executive Director 208-534-8303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID 10221) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |