| NPI | 1144235565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE BOLLES Owner 208-383-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-125) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |