| NPI | 1184927873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE T TWITE Clincial Director/Owner 208-340-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ID LCPC 4339) |
| Enumeration Date | 2010-12-18 |
| Last Update Date | 2010-12-18 |