| NPI | 1538291554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE JEAN WEEKS Owner 208-882-8514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 217) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: ID 202119) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2019-06-11 |