| NPI | 1437554383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GALENE PATZER Principal 208-245-5179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID LCSW-31159) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |