| NPI | 1467342121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA STEWART Owner And Clinician 208-900-5946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-07-05 |
| Last Update Date | 2025-07-05 |