NPI | 1912182163 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA CALDERWOOD Owner/Manager 208-552-9174 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-27801) |
Additional Taxonomies | 251S00000X (Licence: ID LCSW-27801) |
Enumeration Date | 2008-01-07 |
Last Update Date | 2023-02-05 |