| NPI | 1962556787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORALYN ALEXANDER Owner 208-734-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID m6940) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2010-08-18 |