| NPI | 1285958991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAC DAVID RICE Clinic Manager 208-233-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2022-07-21 |