| NPI | 1215365523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE RENE MILLER Executive Director 208-263-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ID LCPC-4183) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |