| NPI | 1609229012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS HARDZIEJ Owner/Director 208-880-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |