| NPI | 1194514901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN BRILL Owner/Clinician 208-577-7135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-06-06 |