| NPI | 1972973089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI L VOYLES Owner 208-595-2490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID LCPC-5839) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2016-08-02 |