NPI | 1003598020 |
---|---|
Doing Business As | BOISE BEHAVIORAL HEALTH PLLC |
Entity Type | Organization |
Authorized Contact | TODD SALZSIEDER Pa 208-314-1770 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2023-08-01 |
Last Update Date | 2023-11-08 |