| NPI | 1770354896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA H PALMER Co Owner 208-284-3992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 251B00000X Case Management | |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-12 |