| NPI | 1982112660 |
|---|---|
| Doing Business As | BONNER GENERAL BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOHN HENNESSY CEO 208-265-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2024-09-13 |