NPI | 1578898151 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE MICHAEL GOTT CEO 208-794-4774 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: ID cHIA 490) |
Enumeration Date | 2009-10-15 |
Last Update Date | 2009-10-15 |