| NPI | 1710535646 |
|---|---|
| Other Name | A-RESTORED LIFE COUNSELING |
| Entity Type | Organization |
| Authorized Contact | GINA L OSTERLOTH Owner 208-297-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |