| NPI | 1588462105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALLEEN ANN CANNON Owner 208-241-1689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |