| NPI | 1942517388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS L. RATELLE President 208-661-8743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID PSY-328) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2017-03-13 |