| NPI | 1609902980 |
|---|---|
| Doing Business As | CHILD & YOUTH STUDY CENTER |
| Entity Type | Organization |
| Authorized Contact | GWEN ELAINE MITCHELL Director 208-885-6191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2014-04-01 |