| NPI | 1982389516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JAMES KILLION Owner 208-573-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant Medical | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2024-06-13 |