| NPI | 1194362517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY DALE LIMB Owner / Clinical Director 208-887-6283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |