| NPI | 1457742447 |
|---|---|
| Other Name | TOPAZ CLINIC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JASON BROWN Chief Executive Officer 208-899-9631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 550000408) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2020-06-17 |