| NPI | 1407567159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMI ECHI-ABOLI Billing Department Director 208-360-1038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2026-01-06 |