| NPI | 1548038060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MICHELLE MILLER President / CEO 208-890-6205 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-14 |