| NPI | 1710374301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH AMY KAST Community Network Manager 208-934-8461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: HI 1136-02) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2022-08-22 |