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