| NPI | 1023945821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PITIE GATURUTURU Owner 208-991-7924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2026-05-06 |
| Last Update Date | 2026-06-19 |