| NPI | 1548395155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BRADFORD DANIELS Manager 208-344-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: ID 807195700) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2012-04-27 |