NPI | 1609997147 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT MARSHAL THOMPSON Behavioral Theripist 208-737-0808 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: ID License not needed) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2020-08-22 |