| NPI | 1285029496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRIN ROBERTSON Owner 208-233-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: ID NP1034A) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |