| NPI | 1124867932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE DANIELS Owner 208-766-3203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-05-21 |