| NPI | 1518036169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN RICHMAN Owner 208-376-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2025-08-01 |