| NPI | 1720830649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRIE DSCHAAK Youth Support Services Coordinator 208-650-4126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |