| NPI | 1093332207 |
|---|---|
| Doing Business As | AMBER GRAHAM |
| Entity Type | Organization |
| Authorized Contact | AMBER GRAHAM Owner 208-731-2896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2020-07-03 |