| NPI | 1851156004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A GIFFORD Sud Counselor / Owner 208-996-2752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2024-04-04 |