| NPI | 1740559541 |
|---|---|
| Doing Business As | PIONEER HEALTH RESOURCES |
| Entity Type | Organization |
| Authorized Contact | DONALD GROSS Owner 208-322-1026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2013-02-07 |