| NPI | 1134878861 |
|---|---|
| Doing Business As | FLC.LLC |
| Entity Type | Organization |
| Authorized Contact | PATTI JOHNSON Therapist/Counseling Mental Health 208-867-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-03-21 |