NPI | 1871126797 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSE CARBAJAL Director Of Operations 208-908-7882 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-02-19 |
Last Update Date | 2020-03-26 |