| NPI | 1386789352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE RODGERS Director 208-336-4504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251B00000X Case Management | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |