| NPI | 1073661328 |
|---|---|
| Doing Business As | LIBERTY CARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | MARK MORENO Majority Member 208-734-7730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-09-16 |