| NPI | 1467248799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA GAMBOA Owner 208-918-1554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-09-11 |