| NPI | 1457360711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY E. BARTH Social Worker 208-322-7699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW 1232) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2008-11-20 |