| NPI | 1457993230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI MORGAN Member 208-890-7165 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 103TC0700X Psychologist, Clinical | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-10-12 |
| Last Update Date | 2024-11-05 |