NPI | 1629405741 |
---|---|
Entity Type | Organization |
Authorized Contact | ARACELLI RODRIGUEZ Case Manager 208-403-2825 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management (Licence: ID LCPC4472) |
Enumeration Date | 2013-10-03 |
Last Update Date | 2015-11-02 |