| NPI | 1548486806 |
|---|---|
| Doing Business As | LIFEWORKS |
| Entity Type | Organization |
| Authorized Contact | RICHARD BALLOU GALLAHER Owner 208-743-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID PSY-202154) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 106H00000X Marriage & Family Therapist (Licence: ID LCPC2976) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2015-12-14 |