| NPI | 1326756347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JYNNAH L SCHWARTZWOLF Manager 208-922-8298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2025-11-18 |