| NPI | 1902175979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ANN DEL COLLETTI Executive Director 208-879-2267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |