| NPI | 1922167279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE BARTON Owner President 208-853-8536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |