| Organization Name: | INTEGRATIVE MINDWORKS LLC, APRIL KING RUBINO SOLE MBR |
| NPI Number: | 1174820872 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | APRIL KING RUBINO (OWNER/PRACTITIONER) |
| Mailing Address: | 803 S Jefferson St Suite 3 Moscow |
| State: | ID US |
| Postal Code: | 838433096 |
| Phone Number: | 2088828159 |
| Fax Number: | |
| NPI Enumeration Date: | 02/16/2011 |
| NPI Last Update Date: | 02/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC-4534 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |