| NPI | 1285932202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE KILDOW Psychologist/Owner 208-442-7791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |