| NPI | 1396786786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADESSA FOSTER Counseling Staff Supervisor 208-343-3688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-3285) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |