| NPI | 1861962698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM SZUDERA Owner/Clinical Director 208-273-9521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2023-08-04 |