| NPI | 1629405741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARACELLI RODRIGUEZ Owner 208-403-2825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management (Licence: ID lcpc4472) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2025-03-20 |