| NPI | 1700425600 |
|---|---|
| Other Name | CENTER COUNSELING, LLC - PEER SUPPORT |
| Entity Type | Organization |
| Authorized Contact | DEBORAH ARLENE GOSS Credentialing Specialist 208-221-1161 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2020-01-13 |