| 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 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |