| NPI | 1124619978 |
|---|---|
| Other Name | BOISE VA MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | SUE M HICKS Owner 208-740-0391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-02-02 |