| NPI | 1790834620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN YINGER Executive Director 208-667-6095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID 0002385147) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-02-26 |