| NPI | 1285121830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON DUNBAR Billing Supervisor 208-954-5573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID O-243) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |