| NPI | 1417024209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDELL V. JACKSON Owner Counselor 208-880-6127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC234) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |