Organization
RESTORATIVE CONNECTIONS COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIA COCHRAN-OTIS (LICENSED CLINICAL SOCIAL WORKER)
(805) 801-9806
Entity
Organization
Contact information
Practice address
1010 W HAYS ST, BOISE, ID 83702-5435
(805) 801-9806
Mailing address
1010 W HAYS ST, BOISE, ID 83702-5435
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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