| NPI | 1346174281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH JANE SHARP Billing & Credentialing Associate 208-350-6759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-06-08 |
| Last Update Date | 2026-06-08 |