| NPI | 1174237044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA KOHLER Owner 208-254-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2025-12-16 |