| NPI | 1275638645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D STEPHENSON Owner/Therapist 208-782-0675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCSW-261187) |
| Additional Taxonomies | 251B00000X Case Management (Licence: ID LCSW-261187) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2014-08-04 |