| NPI | 1023497013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L CHRISTENSEN Owner/Psychologist 208-233-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID SERVICE EXTENDER) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |