| NPI | 1609973577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD D GROSS President 208-619-0190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-02-07 |