| NPI | 1184445645 |
|---|---|
| Doing Business As | REXBURG COUNSELING AND EATING DISORDER CENTER |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH C STEPHENSON Owner 208-705-5239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |