| NPI | 1366033094 |
|---|---|
| Other Name | ISU INTEGRATED MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LEE ROCK Clinics Director Of Operations 208-373-1743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-08-27 |