| NPI | 1740583590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATH JACOB SOMMER CEO 208-237-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: ID psy202423) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2010-12-17 |