| NPI | 1013494301 |
|---|---|
| Former Legal Business Name | LABYRINTH |
| Entity Type | Organization |
| Authorized Contact | DONNA CALL Credentialing 208-317-0268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: ID LCPC3275) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2022-08-19 |