| NPI | 1750927372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE LEREIGH WHITEMAN Financial Director 208-571-8459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2024-09-09 |