| NPI | 1578319224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN JAMES ANNEST Owner/Social Worker Clinician 208-420-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-04-24 |