| NPI | 1821387242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SCOTT HOCHHALTER Counselor 208-237-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID LPC4157) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |