| NPI | 1285431841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J HOEKSTRA Owner/CEO 208-964-7189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-02-28 |