| NPI | 1609267715 |
|---|---|
| Doing Business As | SHS PSYCHIATRIC GROUP |
| Entity Type | Organization |
| Authorized Contact | LYNN D SHIELDS Patient Account Spec 208-785-8462 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-03-25 |