| NPI | 1942669536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS ANKNEY CFO/Director Of Operations 208-267-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: ID C201369) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |