| NPI | 1952172504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WARD Managing Member 208-598-8913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2025-07-24 |