| NPI | 1508722265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HELGESON Psychiatric Nurse Practitioner 208-360-0299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-12-26 |
| Last Update Date | 2025-12-26 |