| NPI | 1821238080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SHAKESPEARE NEIGHBORS Clinical Psychologist 208-412-7740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-03-01 |
| Last Update Date | 2024-06-28 |