| NPI | 1720136294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA H. WHITE Therapist 208-529-5276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW26452) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |