| NPI | 1700344595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SLOAN N SWENDSEN Owner 208-313-7721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251J00000X Nursing Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |