| NPI | 1881353175 |
|---|---|
| Doing Business As | REXBURG EATING DISORDER CENTER |
| Entity Type | Organization |
| Authorized Contact | LUKE SCOTT EINERSON Owner 208-403-1826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 104100000X Social Worker | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2022-09-20 |