| NPI | 1801498050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNE BEDKE Bookkeeper 208-678-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2025-05-30 |