NPI | 1003301680 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE R FITTING Supervisor 208-743-5906 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-26273) |
Enumeration Date | 2018-06-26 |
Last Update Date | 2018-06-26 |