| NPI | 1346090594 |
|---|---|
| Doing Business As | WATER'S EDGE COUSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | JARED LANCE BRYSON President/ Clinician 208-996-0325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-04-07 |