| NPI | 1134581150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEKANE FELISA ARRIETA-RESNICK Clinician/Owner 208-724-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID LCPC-5094) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2020-02-17 |