| NPI | 1164011912 |
|---|---|
| Doing Business As | COASTAL COUNSELING SERVICES |
| Entity Type | Organization |
| Authorized Contact | RENE ARLENE KNOLES Mental Health Counselor 208-661-7432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-01-15 |