| NPI | 1316713175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY KATHLEEN PIERCE Owner/Clinician 208-917-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2023-12-01 |