| NPI | 1831915198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL WESTON Owner 208-648-3135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |