| NPI | 1962398206 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | MARIA MITTAG CHALFANT Solo Owner 208-508-2202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-06-13 |