NPI | 1619195344 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY P LAGROU Owner Program Manager 208-676-1003 |
Organization Subpart ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2007-04-20 |
Last Update Date | 2020-08-22 |