| NPI | 1144180167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE WILTON Mental Health Counselor 208-446-7306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-11-12 |
| Last Update Date | 2026-02-05 |