| NPI | 1952947822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SUE HELSLEY Licensed Clinical Social Worker 208-252-5009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-12-12 |