| NPI | 1396163275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON GROSS Owner 208-287-2564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |