| NPI | 1912333238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR DE LEON Executive Director 208-454-5133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID 6817) |
| Additional Taxonomies | 251B00000X Case Management (Licence: ID 6817) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |