| NPI | 1881147684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHET K DALLING Owner 208-313-2634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW30107) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |