NPI | 1972805224 |
---|---|
Doing Business As | PAYETTE COUNSELING AND PSYCHIATRIC SERVICES |
Entity Type | Organization |
Authorized Contact | MICHAEL STEWART LEE Owner 208-365-5445 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2010-11-18 |
Last Update Date | 2010-11-18 |