| NPI | 1609354109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA A. METTLER Chief Program Officer 208-667-1189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |