| NPI | 1528492683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI A ANDERST KEUHEY Provider And Memeber Of LLC 208-340-1688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2025-06-05 |