| NPI | 1952148058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE TOLMAN Owner 208-890-2643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2025-05-14 |