| NPI | 1053702142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARENE HEISLER Owner 208-640-9257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-29180) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2016-11-28 |