NPI | 1528704350 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDY PEREZ Owner 208-859-9110 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 251B00000X Case Management |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
Enumeration Date | 2022-05-05 |
Last Update Date | 2022-05-05 |