| NPI | 1215316989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAINE LOUISE READ Owner 208-921-3197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID LCSW-34740) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |