| NPI | 1689504169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA COLBERT Owner 208-999-1266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2026-05-19 |
| Last Update Date | 2026-05-20 |