| NPI | 1023435526 |
|---|---|
| Other Name | PSBHC, INC. |
| Entity Type | Organization |
| Authorized Contact | CARMEN D BABB Owner 208-732-0995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-03-21 |