| NPI | 1689286643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MARIE FOSTER Owner/Lcsw 208-553-8137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |