| NPI | 1023407194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN RACHELLE ADAMS Certified Professional Midwife 208-473-6284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: ID 47) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |