| NPI | 1437252723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN G VINCENT Owner 208-552-4823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID M6269) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2015-01-06 |