| NPI | 1831704204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTELLA R ACOSTA FURLOTT Clinician/ Owner 208-957-7955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 104100000X Social Worker |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-09-12 |
| Last Update Date | 2020-09-12 |