NPI | 1801274790 |
---|---|
Doing Business As | INTEGRATED COUNSELING AND WELLNESS |
Entity Type | Organization |
Authorized Contact | LUKE EINERSON President/CEO 208-357-3104 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: ID 5636) |
261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: ID 5636) | |
Enumeration Date | 2015-05-11 |
Last Update Date | 2023-04-25 |