| NPI | 1750157400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JAMES GRIFFIN Owner/Therapist 208-219-6304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2024-06-07 |