NPI | 1538291554 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHERINE JEAN WEEKS Owner 208-882-8514 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 217) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: ID 202119) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2019-06-11 |