| NPI | 1528118254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAIR K GARNER President 208-522-1904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2012-01-23 |