| NPI | 1811871940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH CHRISTINA CARDER Owner 208-819-6122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2026-07-29 |