| NPI | 1346005741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANESE LEATHERBURY Owner/Psychotherapist 208-705-0547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |