| NPI | 1588010615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MCDOUGALL CEO/ Clinicain 208-453-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ID LCSW-29269) |
| Enumeration Date | 2016-05-07 |
| Last Update Date | 2016-05-07 |