| NPI | 1003584582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LYNN HALL Owner, Therapist 208-254-0682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2024-09-07 |