| NPI | 1194397240 |
|---|---|
| Doing Business As | HERITAGE HEALTH CFHL CDA |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BAKER CEO 208-292-0256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 101YS0200X Counselor School | |
| 103TC1900X Psychologist Counseling | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2024-09-10 |