| NPI | 1396254066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY DAWN SMOTHERS Owner 208-293-8846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC-6156) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2024-02-15 |