| NPI | 1043075302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN E CANNELL Owner/Founder 208-727-7360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |