| NPI | 1871367276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMATOULIE DEEN Executive Director 208-333-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2025-12-01 |