| NPI | 1407566508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI C JAMIESON Executive D Irector 208-630-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 106H00000X Marriage & Family Therapist | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2022-11-29 |