| NPI | 1124476858 |
|---|---|
| Other Name | TIDWELL SOCIAL WORK SERVICES AND CONSULTING |
| Entity Type | Organization |
| Authorized Contact | KATHY MATLOCK TIDWELL Clinic Supervisor 208-853-6649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: ID LPC-6143) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2019-09-16 |