| NPI | 1386476380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ELISH LONG-AZARY Owner 208-794-4737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor Pastoral |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 171M00000X Case Manager/Care Coordinator | |
| 171R00000X Interpreter | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2024-08-17 |
| Last Update Date | 2024-08-17 |