| NPI | 1225342702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATH JACOB SOMMER Clincal Psychologist/CEO 208-237-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: ID Psy202423) |
| Additional Taxonomies | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care (Licence: ID psy202423) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |