NPI | 1619760501 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY J HOEKSTRA CEO 208-964-7189 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2025-05-23 |
Last Update Date | 2025-05-23 |