| NPI | 1952738262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY THOMAS CFO 208-377-2613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2023-04-06 |