| NPI | 1871604942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL K BARTELL Owner 208-552-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-03-04 |