| NPI | 1831806124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH HLEBICHUK Owner 208-704-0046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-11-04 |