| NPI | 1295960516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LYNN RAYMOND Manager/CEO 208-571-2723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ID LMSW-28829) |
| Enumeration Date | 2009-05-17 |
| Last Update Date | 2010-05-20 |