NPI | 1407203623 |
---|---|
Doing Business As | SANDPOINT NEUROTHERAPY |
Entity Type | Organization |
Authorized Contact | ERIC ROBERT RIDGWAY President/Owner 208-265-5412 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC 135) |
Enumeration Date | 2016-05-17 |
Last Update Date | 2017-10-02 |