| NPI | 1245353440 |
|---|---|
| Doing Business As | PSYCHOSOCIAL REHABILITATION SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | NICHOLE CHRISTENSEN Secretary 208-234-1707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: ID PSY202148) |
| Additional Taxonomies | 251S00000X (Licence: ID PSY202148) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2009-05-27 |