| NPI | 1396608071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI BURFORD-BELL Clinic Executive Director 208-743-5899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2025-12-08 |
| Last Update Date | 2025-12-17 |