| NPI | 1114701877 |
|---|---|
| Doing Business As | INTEGRATED CLINICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | TERRY EDELMANN Founder CEO 208-651-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-08-23 |