| NPI | 1053186825 |
|---|---|
| Doing Business As | PODERA THERAPY |
| Entity Type | Organization |
| Authorized Contact | ROMAN LAWS Owner 208-244-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2023-11-27 |