| NPI | 1255645610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATH JACOB SOMMER CEO 208-237-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: ID PSY202423) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |