| NPI | 1922129840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ROSS President 208-236-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |