| NPI | 1538406335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LEE EMERY Owner/Director 208-681-7133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2018-06-13 |