| NPI | 1528437878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHYAN KIM GARCIA Owner, Clinical Director, Counselor 208-954-0734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LPC-4786) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |