| NPI | 1891184891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME MCMANUS Director Of Behavioral Health Servi 208-850-1896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: ID LPC-5005) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |