| NPI | 1689397804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERISH HILL Social Worker 208-553-7930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2024-06-03 |