| NPI | 1851560809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN TOTH Clinical Director 208-342-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID LCPC3978) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |