| NPI | 1013298058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C. SLAVEN Executive Director 208-237-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ID LCSW 28016) |
| Enumeration Date | 2011-09-05 |
| Last Update Date | 2011-09-05 |