| NPI | 1023823531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA DARLENE HODGE-TRACY Owner/Counselor 208-227-3571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |