| NPI | 1306203468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI STEVENSON Office Manager 208-782-0678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ID LMSW27872) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |