| NPI | 1568768315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ELIZABETH KEELEY President/Owner 208-755-7370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCSW30184) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-02-04 |