| NPI | 1699382598 |
|---|---|
| Doing Business As | COPPER CREEK COUNSELING CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | LAURA ANN CROMWELL Manager/Owner 208-376-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |