| NPI | 1477917722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE OF BARNHILL Counselor 208-602-8867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-11) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |