| NPI | 1487230868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICA J DUCE Co Owner 208-420-3018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-11-12 |