| NPI | 1225549983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE MYERS Lcsw/Owner 208-404-3247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 60512881) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2017-10-20 |