| NPI | 1407171176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN J MOORE Owner/Counselor 208-841-3581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-3938) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-3839) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2013-04-03 |