| NPI | 1407246911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA C SHARP President/Provider 208-251-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID LCSW 877) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-23 |