| NPI | 1932247277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANN KINMOUTH Owner 208-667-8860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCSW-796) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |