| NPI | 1013153162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LYNNE MOREHOUSE President 208-322-2412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCSW29353) |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2008-12-19 |