| NPI | 1174214290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN J WHEELIHAN Owner 208-918-4429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2026-03-31 |