| NPI | 1548610272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA HELFER Owner 208-323-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: ID M-12082) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |