| NPI | 1154770295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL E MEILAND-WEBSTER Owner 208-946-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW 28304) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-10 |