| NPI | 1275177503 |
|---|---|
| Former Legal Business Name | STILLWATERS COUNSELING LLC |
| Entity Type | Organization |
| Authorized Contact | STACIE LEE STEPHENSON Office Manager 208-782-0675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |