| NPI | 1598129728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON DUNBAR Reimbursement Manager 208-954-5573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID O-0933) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |