| NPI | 1780218404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE FORD President 208-421-8358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225700000X Massage Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| 172A00000X Driver | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |