| NPI | 1922934157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PEPPER BECKSTEAD Executive Director 208-675-9412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-06-23 |
| Last Update Date | 2026-06-23 |