NPI | 1003598947 |
---|---|
Entity Type | Organization |
Authorized Contact | HAILEY MAIRE Director/Therapist 208-918-6111 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2023-08-01 |
Last Update Date | 2023-08-01 |