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 |