| NPI | 1255478293 |
|---|---|
| Other Name | PERSONAL GROWTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JON HARRIS Director 208-529-5548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW420) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2010-10-07 |