| NPI | 1720265705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SCURI Owner Clinical Director 208-338-4699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID LCPC-3115) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |