| NPI | 1881637122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY MOORE CEO 208-455-3718 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2018-06-20 |