| NPI | 1861544454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA JO PERRENOUD Director And Clinician 208-478-9822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2013-05-21 |