| NPI | 1407870900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J BAGLIEN Co Owner Chairman 208-756-1573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |