| NPI | 1285483537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCY DEE RUFFO Owner/Provider 208-626-2433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-07-12 |