| NPI | 1376089896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY S LEE Owner 208-699-9065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-36216) |
| Additional Taxonomies | 251S00000X (Licence: ID LCSW-36216) |
| Enumeration Date | 2017-01-07 |
| Last Update Date | 2020-11-30 |