| NPI | 1235791997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MICHELLE MILLER Executive Director/Owner 208-376-1532 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2025-08-21 |