| NPI | 1972143048 |
|---|---|
| Other Name | CBRS |
| Entity Type | Organization |
| Authorized Contact | JENNIFER RIAN TUTTLE Owner 208-819-2716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |