| NPI | 1467871913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE WILCOX PICKUP Manager 208-312-0957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: ID AUD-1529) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |