| NPI | 1164044426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE MARIE ANDERSON Owner/Counselor 208-351-5539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-05-09 |
| Last Update Date | 2020-05-09 |