| NPI | 1790553261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MICHELLE MILLER Executive Director 208-890-6205 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-14 |