| NPI | 1831326503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARRIS L. ALLEN Owner/Manager 208-520-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2025-08-11 |