| NPI | 1639681224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMI WALKER Owner 208-714-1727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: ID LCSW-37120) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2023-09-29 |