| NPI | 1699166637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SCURI Owner 208-338-4699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |