| NPI | 1811595929 |
|---|---|
| Doing Business As | ISU POCATELLO COUNSELING CLINIC |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LEE ROCK Clinics Director Of Operations 208-373-1743 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |