| NPI | 1487102331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM L VIRTUE President 208-316-5436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |