| NPI | 1174219448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON COLE Owner 208-553-5073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2024-04-30 |