| NPI | 1467889170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA NOEL TORREZ Owner 208-350-8998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID LCSW-30219) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |