| NPI | 1225258007 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | HARTZELL COBBS Executive D Irector 208-336-5533  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: ID LSW2214)  | 
| Enumeration Date | 2007-04-26 | 
| Last Update Date | 2020-08-22 |