| NPI | 1891554341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAILEY SWIFT Owner/ Clinician 208-830-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |