| NPI | 1003284126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIVONNE MRAZ Outpatient Mental Health Manager 208-799-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: ID LMSW-34840) |
| Enumeration Date | 2015-09-05 |
| Last Update Date | 2015-09-05 |