| NPI | 1912542648 |
|---|---|
| Doing Business As | KATHERINE WACHOLZ AGENCY |
| Entity Type | Organization |
| Authorized Contact | KATHERINE WACHOLZ WACHOLZ Independent Provider Professional 208-699-1704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |