| NPI | 1730886003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI R MAURER Owner 208-709-9215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-02-15 |