| NPI | 1609027192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY NEY Billing Manager 208-455-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-28826) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |