NPI | 1598012700 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL SMITH Billing 208-524-7400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: ID LPC2922) |
Enumeration Date | 2012-08-07 |
Last Update Date | 2012-08-07 |