| NPI | 1407534449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ELIZABETH AYERS Owner/Counselor 208-513-4791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |