| NPI | 1912879990 |
|---|---|
| Doing Business As | BACKCOUNTRY BALANCE |
| Entity Type | Organization |
| Authorized Contact | LESA KOGER Mental Health Therapist 385-327-4314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-09-19 |