| NPI | 1679112502 |
|---|---|
| Other Name | CENTER COUNSELING, LLC - CBRS |
| Entity Type | Organization |
| Authorized Contact | DEBORAH ARLENE GOSS Credentialing Specialist 208-221-1161 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-30 |