| NPI | 1356509509 |
|---|---|
| Doing Business As | IMPACT |
| Entity Type | Organization |
| Authorized Contact | BRUCE HAMPTON Owner/Lsw 208-522-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-27 |