| NPI | 1013308071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XOCHITHL FRANKMAN Administrator 208-478-4782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: UT AL-II- UT000673) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2018-04-23 |