| NPI | 1831520543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN WILLIAM BEDDOES Counselor 208-890-3787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC-5105) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2013-12-05 |