| NPI | 1487822797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE BOYER Owner 208-323-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID M6809) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-03-07 |