| NPI | 1992040323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | B. ROBB REDFORD Diretor/Owner 208-478-9822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: ID LMSW-31940) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2012-12-12 |