| NPI | 1255971024 |
|---|---|
| Other Name | COGNITIVE RESTRUCTURING, LLC PHP |
| Entity Type | Organization |
| Authorized Contact | KENNETH JAMES TAYLOR Owner 208-757-0803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2023-05-04 |