| NPI | 1194268169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY GRATTON Owner 208-576-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID LCSW27506) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2025-06-19 |