| NPI | 1366794224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PIERCE SHERMAN Manager 208-818-2290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID LCSW-31731) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |