| NPI | 1841307188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA M. BEDKE Owner/Administrator 208-678-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LMFT-2792) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-3490) |
| 101YM0800X Counselor, Mental Health (Licence: ID LCPC-3489) | |
| 101YM0800X Counselor, Mental Health (Licence: ID LCP-3224) | |
| 104100000X Social Worker (Licence: ID LMSW-27196) | |
| 104100000X Social Worker (Licence: ID LMSW-26630) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2010-07-28 |