| NPI | 1447695630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARIE BEGLINGER Owner/President 208-777-5510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: ID LMFT 3898) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: ID LMFT3898) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2014-03-18 |