| NPI | 1457596769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE JEAN WOLCOTT Certified Nurse Midwife 208-324-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: ID CNM-24A) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2008-12-16 |