| NPI | 1285319509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE LANGLEY Employee 208-329-8421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2025-10-27 |