| NPI | 1346684271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAC C. WEBB Licensed Psychologist 208-284-6746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID PSY-42) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |