| NPI | 1801347703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY SALISBURY Co Owner 208-672-0360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |