NPI | 1013535145 |
---|---|
Doing Business As | REVITALIZE COUNSELING CENTER |
Entity Type | Organization |
Authorized Contact | LAURA L GAYLER President/Owner 208-997-3077 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Enumeration Date | 2020-07-06 |
Last Update Date | 2020-07-06 |