Living Water Youth Ranch
NPI #1528795093 in Hayden, Idaho
Provider Information
- NPI Number
- 1528795093
- Entity Type
- Organization
- Organization Name
- Living Water Youth Ranch
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 4, 2022
- Last Updated
- Aug 4, 2022
Practice Location
Authorized Official
- Name
- MARISSA MCCREARY
- Title
- OFFICE MANAGER
- Phone
- (208) 981-1992
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
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