| NPI | 1417370990 |
|---|---|
| Doing Business As | PSYCHIATRY AND NEUROTHERAPY OF IDAHO |
| Entity Type | Organization |
| Authorized Contact | ROBERT KEITH WYATT President 208-503-6298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID MHC-421) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2025-05-01 |