| NPI | 1437915907 |
|---|---|
| Other Name | LEEANN CARSON |
| Entity Type | Organization |
| Authorized Contact | LEEANN CARSON Owner 208-860-7428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-02-22 |