NPI | 1477253318 |
---|---|
Entity Type | Organization |
Authorized Contact | KLARICE JOHNSON Owner 208-757-2932 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2023-03-08 |
Last Update Date | 2023-10-06 |