| NPI | 1710716279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY COX Owner 208-602-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |