| NPI | 1932089273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARFAIT DIABATE ABAYISENGA Shareholder 208-605-9860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-11-07 |