NPI | 1134338791 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA WHARTON Master Social Worker 208-353-2496 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID LMSW-25856) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2020-08-22 |