| NPI | 1952141962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE CASSANDRA MILLS Owner/Counselor 208-412-4793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-28 |