| NPI | 1104374974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MCKEE Owner 208-237-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2020-02-21 |