| NPI | 1720573512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY O LEDWA Owner/Counselor Supervisor 208-376-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ID LCPC-5328) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |