| NPI | 1699893487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD ANTHONY CALLENS Owner 208-287-0993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCSW3098) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |