NPI | 1003697376 |
---|---|
Entity Type | Organization |
Authorized Contact | WHITNEY HARRIS Owner/Clinician 208-223-6211 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-10-11 |
Last Update Date | 2023-10-11 |