| NPI | 1023702362 |
|---|---|
| Doing Business As | BRONCHO MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | KRISSY L BRONCHO President 208-220-7520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-08 |