| NPI | 1366648487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE ALICE HULL Director 208-682-2547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: HI n6485) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |