| NPI | 1174389829 |
|---|---|
| Doing Business As | STATE HOSPITAL WEST |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA GALLEGOS Administrative Support Manager 208-606-7777 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |