| NPI | 1487537478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN KILLION Owner 208-573-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 175T00000X Peer Specialist | |
| 363A00000X Physician Assistant | |
| 405300000X Prevention Professional | |
| 251B00000X Case Management | |
| 101YM0800X Counselor, Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 101Y00000X Counselor | |
| 1041C0700X Social Worker, Clinical | |
| 363AM0700X Physician Assistant, Medical | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-12-03 |