Lifestyle Changes Counseling

NPI #1912335217 in Twin Falls, Idaho

Provider Information

NPI Number
1912335217
Entity Type
Organization
Organization Name
Lifestyle Changes Counseling
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Oct 23, 2013
Last Updated
Oct 23, 2013

Practice Location

Address
371 LOCUST ST S
State
Idaho
ZIP Code
83301-7837
Phone
(208) 734-5230

Authorized Official

Name
MR. WILLIAM L VIRTUE SR.
Title
OWNER
Phone
12087345230

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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