| NPI | 1285488981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY GRANT BROOKS Executive Director/Owner 208-615-3567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2025-05-09 |