NPI | 1497962575 |
---|---|
Entity Type | Organization |
Authorized Contact | BOBETTE R PAGE Owner Manager 208-757-0330 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID LCSW-27373) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2007-12-31 |