| NPI | 1083852982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY L. HADFIELD President Owner 208-287-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: ID N-32864) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2024-02-15 |