| NPI | 1356617807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE J SCOTT Owner 208-882-3504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251X00000X |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2023-11-27 |