| NPI | 1962604942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVITA MARLENE HARRIS President 208-354-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2016-06-01 |