NPI | 1568768315 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN ELIZABETH KEELEY President/Owner 208-755-7370 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ID LCSW30184) |
Enumeration Date | 2011-01-26 |
Last Update Date | 2011-02-04 |