| NPI | 1578325247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN RILEY MURDOCK Owner 208-254-1882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-01-29 |