| NPI | 1568693604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY THAIR KELLS President/CEO 208-928-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: ID LPC-3954) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |