| NPI | 1356644769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE JAYNE SCOTT Owner 208-874-2962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2024-05-15 |