| NPI | 1780218404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE POTTER Owner 208-421-8358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2024-11-04 |