(Items marked with * are required)
* Agency:
* Program:
Website:
Counties Served:
Latah
Whitman
* Mailing Address:
* Mailing City:
* Mailing State:
* Mailing Zip:
Phone:
Fax:
Email:
* Contact #1 Name:
* Contact #1 Phone:
Contact #2 Name:
* Contact #2 Phone:
Services:
(Check all that apply)
Alzheimer's/Dementia
Clergy
Crisis Services
Emergency Response
Financial Resources
Group Services
Idaho
In Home Care
Individual Services
Long Term Care Provider
Medicaid
Medicare
Medication Management/Psychotropic medication
Mental Health
Nutrition
Primary Care Provider
Private Insurance
Senior Abuse
Social Work
Substance Abuse
Transportation
Washington
Trainings:
(Check all that apply)
Addiction
Caregiver
Dementia
Depression
Ethics
Financial
Grant Writing
Insurance
Mental Health
Mental Health First Aid
Senior Safety