| NPI | 1245528082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA RAWLINGS Operations Manager 208-267-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-4714) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID ACADC-73) |
| 106H00000X Marriage & Family Therapist (Licence: MT LMFT-60) | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2016-10-13 |