NPI | 1720265705 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA SCURI Owner Clinical Director 208-338-4699 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID LCPC-3115) |
Enumeration Date | 2008-01-22 |
Last Update Date | 2008-01-22 |