| NPI | 1932300365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN SCHRADER President 208-342-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC 347) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |