| NPI | 1740926187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON TURNER Provisional Therapist 208-571-1614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2023-06-23 |