NPI | 1356054423 |
---|---|
Doing Business As | JILL BREITBACH, PSYCHOLOGIST |
Entity Type | Organization |
Authorized Contact | JILL BREITBACH Owner 208-666-0357 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2023-01-03 |
Last Update Date | 2023-08-07 |