| NPI | 1083636914 |
|---|---|
| Doing Business As | STANLEY ZUCKERMAN |
| Entity Type | Organization |
| Authorized Contact | STANLEY A. ZUCKERMAN Psychotherapist 208-385-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: ID LCSW1219) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: ID LCSW1219) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-07-30 |