| NPI | 1801691647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAELYNN GRANT Owner/ Clinical Counselor 208-761-0980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-02-17 |