| NPI | 1699636233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA ASBELL Owner/Manager/Provider 208-757-8949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| Enumeration Date | 2025-11-22 |
| Last Update Date | 2025-11-22 |