| NPI | 1104083724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHARES LINDEMAN BOOK Psychologist 208-459-6962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID 202193) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2012-01-24 |