| NPI | 1003183690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE A MITTON Administrator/Owner 208-442-0325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: ID A0000749) |
| Enumeration Date | 2011-11-26 |
| Last Update Date | 2011-11-26 |