NPI | 1184769994 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA R O'BRIEN Owner/Director 208-476-7483 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCSW-31240) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCSW-26572) |
101YM0800X Counselor, Mental Health (Licence: ID LPC-5523) | |
Enumeration Date | 2007-02-20 |
Last Update Date | 2015-03-31 |