| NPI | 1932257524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY D HOLBOOK Executive Driector 208-535-0175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |