| NPI | 1477685550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE RENE KILDOW Psychologist, Clinic Director 208-442-7791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-01-31 |