| NPI | 1316564891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY X MORAIRTY Psychiatrist 208-537-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2022-09-23 |