| NPI | 1821238080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SHAKESPEARE NEIGHBORS Therapist/Office Mgr 208-412-7740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: ID LCSW - 28825) |
| Enumeration Date | 2009-03-01 |
| Last Update Date | 2013-05-29 |