| NPI | 1518356906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA WHITE Owner 208-436-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW 32507) |
| 251B00000X Case Management (Licence: ID LCSW 32507) | |
| 253J00000X Foster Care Agency (Licence: ID LCSW 32507) | |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-09-04 |