| NPI | 1932098845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BIGIRIMANA Credentialing Director 208-579-0696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 174200000X Meals | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-07-03 |
| Last Update Date | 2025-07-03 |