| NPI | 1124854765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA LANGE Owner/CEO 208-416-9371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2025-01-09 |