| NPI | 1083773378 |
|---|---|
| Other Name | NICMH |
| Entity Type | Organization |
| Authorized Contact | KIM BENDICKSON Office Manager 208-265-6798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-25493) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2010-05-13 |