| NPI | 1629349089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ELAINE KUNTZ Owner/Counselor 208-991-0136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID LPC-4611) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2012-01-17 |