| NPI | 1639391477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIISA OSWALD Secretary Treasurer 208-356-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: ID O-305) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |