| NPI | 1407329469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL J SPRAGUE Owner 208-365-3141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2023-06-14 |