| NPI | 1144546649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD M BERLIN Owner 208-830-6775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-29777) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2010-04-09 |