| NPI | 1144396649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOHN HEARN Owner President 208-664-3282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW 403) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-08-22 |