NPI | 1679596068 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNN MOORE Owner 208-676-0472 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2007-10-03 |