| NPI | 1336915396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMATOULIE DEEN Owner 208-385-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2025-08-18 |