| NPI | 1104124122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE KILDOW Psychologist/Owner 208-442-7791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |