| NPI | 1851662852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAIR K GARNER President 208-522-1904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID LCSW-582) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |