| NPI | 1245597509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL LYNNE ROBISON Np 208-323-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID NP-1134A) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |