| NPI | 1942956073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE WESTOVER Owner 208-557-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-03-02 |