| NPI | 1548279615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY THOMAS MEECH Owner/Psychologist 208-666-0357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY5143) |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2019-09-19 |