| NPI | 1154198786 |
|---|---|
| Doing Business As | FAMILY LIFE COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | SHANE MICHAEL DUTY President 208-407-8014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2024-01-16 |