| NPI | 1841684313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE KINZIE Therapist/Owner 208-851-2873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO LPC0006082) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |