| NPI | 1861718561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORALYN ALEXANDER Owner 208-734-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: ID m6940) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-08-19 |