NPI | 1669090668 |
---|---|
Entity Type | Organization |
Authorized Contact | NICHOLE RAE LOW Member 208-550-7920 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-07-07 |
Last Update Date | 2020-07-07 |