| NPI | 1932845781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA L AUBREY Owner 208-742-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2026-08-04 |