| NPI | 1760729206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE A KROSCH Director 208-455-5315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: ID D-368) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |