| NPI | 1316649106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA K BAKER Owner 208-278-6027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-03-17 |