| NPI | 1801274790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE EINERSON President/CEO 208-357-3104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health (Licence: ID 5636) |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: ID 5636) | |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2023-04-25 |