| NPI | 1124774898 |
|---|---|
| Doing Business As | HEALING BY FIRE ART GLASS THERAPY |
| Entity Type | Organization |
| Authorized Contact | DANIEL T AULT Employee 208-615-9575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2022-02-22 |