| NPI | 1548697006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT WILSON Compliance And Risk Management 208-489-4761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283XC2000X Rehabilitation Hospital, Children (Licence: ID SLP-2340) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |