| NPI | 1881708832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARIE HENG Owner 208-522-9812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC 267) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW 715) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2011-04-27 |