| NPI | 1922467976 |
|---|---|
| Former Legal Business Name | NORTHEND MENTAL HEALTHCARE, LLC |
| Entity Type | Organization |
| Authorized Contact | LAURA SINEY Owner/Office Manager 208-429-3854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: ID LCSW-35033) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-05-04 |