| NPI | 1851135040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY C OWNES Owner 208-829-3160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2024-10-10 |