| NPI | 1467676973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAIR POND Administrator 208-319-0760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: ID 3TOMORW057) |
| Additional Taxonomies | 251C00000X (Licence: ID 4TOMORW018) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |