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 |