| NPI | 1700394822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRAHAM CHRISTENSEN Owner 208-704-0380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2025-11-13 |