| NPI | 1255977914 |
|---|---|
| Other Name | CENTER COUNSELING, LLC ADULT DAY |
| Entity Type | Organization |
| Authorized Contact | DEBORAH ARLENE GOSS Credentialing Specialist 208-221-1161 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-12-30 |