NPI | 1336316207 |
---|---|
Entity Type | Organization |
Authorized Contact | M. MIKELL ZIMMERMAN President 208-597-3553 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: ID LPC-3664) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-3664) |
Enumeration Date | 2008-05-09 |
Last Update Date | 2008-05-09 |