| NPI | 1235594201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANNE SIRS Owner, Counselor 208-250-5133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WA SC 60611641) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2019-07-29 |