NPI | 1508124967 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA L STARR Co Owner/Therapist 208-201-0408 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2012-04-23 |
Last Update Date | 2012-06-05 |