NPI | 1457036436 |
---|---|
Entity Type | Organization |
Authorized Contact | CHANTEL ZUERCHER Owner 208-244-1446 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-06-19 |
Last Update Date | 2024-07-03 |