| NPI | 1649807298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNY KELL HENSON Owner/Therapist 208-640-4339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |