| NPI | 1770267502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN HUCK Owner/Therapist 208-494-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-19 |