NPI | 1003907163 |
---|---|
Doing Business As | YOUTH AND FAMILY RENEWAL SERVICES |
Entity Type | Organization |
Authorized Contact | SHEILA KELLOGG Administrator 208-652-7461 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2006-09-27 |
Last Update Date | 2020-08-22 |