| NPI | 1013745546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISSA NTAKARUTIMANA Owner / Clinician 208-906-5878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2025-05-18 |