| NPI | 1447970249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON JAMES HOUSTON CEO 208-737-6708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |