| NPI | 1902392673 |
|---|---|
| Doing Business As | HERITAGE HEALTH CHILDREN AND FAMILY SERVICES |
| Entity Type | Organization |
| Authorized Contact | JILL CONTE Credentialing Specialist 208-415-0299 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 1041S0200X Social Worker, School | |
| 106H00000X Marriage & Family Therapist | |
| 175T00000X Peer Specialist | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2023-05-08 |