| NPI | 1437533726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN LEWIS Manager 208-375-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC-5901) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |