| NPI | 1215192976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORIONNA WASHAKI Business Office Manager 208-238-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal (Licence: ID 19317) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |