| NPI | 1780270256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN BROWN Licensed Clinical Professional Coun 208-761-2730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2023-12-05 |