NPI | 1235737347 |
---|---|
Doing Business As | ISU MERIDIAN COUNSELING CLINIC |
Entity Type | Organization |
Authorized Contact | CYNTHIA LEE ROCK Clinics Director Of Operations 208-373-1743 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-10-12 |
Last Update Date | 2020-10-12 |