| NPI | 1700395209 |
|---|---|
| Doing Business As | ANDY SMITHSON |
| Entity Type | Organization |
| Authorized Contact | ROBERT ANDREW (ANDY) SMITHSON Owner/Therapist 208-312-3648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: ID LCSW-33818) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2019-06-11 |