NPI | 1578829776 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN SCHUMACHER Owner 208-376-7976 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID NP 446A) |
Enumeration Date | 2012-04-02 |
Last Update Date | 2012-04-02 |