| NPI | 1154639714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN SCHOEN-ORR Owner 208-528-6853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: ID LCPC-3187) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |