| NPI | 1386778959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LEE MCKENZIE Clinical Director/Owner 208-798-1646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2025-12-08 |