NPI | 1497053979 |
---|---|
Entity Type | Organization |
Authorized Contact | TRENT TURNER Clinical Social Worker/Owner 208-262-4209 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID LCSW-31083) |
Enumeration Date | 2011-03-07 |
Last Update Date | 2022-06-01 |