| NPI | 1740051325 |
|---|---|
| Other Name | ANDREA MCCLURE SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | ANDREA MCCLURE Owner 208-252-5235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |