| NPI | 1861159238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHON EISENHOWER HUNT Owner 208-241-9790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2021-11-20 |
| Last Update Date | 2024-03-02 |