| NPI | 1871807354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATH JACOB SOMMER CEO 208-237-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID lcsw-27911) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ID ot-807) |
| 235Z00000X Speech-Language Pathologist, (Licence: ID slp-1893) | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |