| NPI | 1972862290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI LYNN FEEK Owner 208-762-4405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LPC-4041) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2014-11-26 |