| NPI | 1083769798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATALINA STECKBAUER Owner, Manager 208-234-7199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: ID 000417300) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: ID 8053791) |
| 251S00000X Community/Behavioral Health (Licence: ID 000417100) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2013-06-26 |