| NPI | 1184764755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN WERNER-LEAP Director 208-233-2998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: ID CNS-15A,N-28258) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |