| NPI | 1811015308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE JAYNE SCOTT Owner 208-877-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: ID 8058915) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2015-09-09 |