| NPI | 1619503893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA L TRUSSEL BERG Owner/Executive Director 208-521-9946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2024-07-23 |