| NPI | 1427834571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SPENCER Owner 208-974-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2024-01-04 |