| NPI | 1558801589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE BUCHANAN Owner/Founder 208-850-9846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCSW21765) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2024-12-19 |