| NPI | 1952674988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI JOLEEN SUMMERS Owner 208-339-4356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 251B00000X Case Management | |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2013-03-14 |