| NPI | 1841885266 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ALEXIS PEARSON Director/Owner 208-286-8182 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 101YP2500X Counselor, Professional | 
| 104100000X Social Worker | |
| Enumeration Date | 2021-03-08 | 
| Last Update Date | 2025-06-05 |