| NPI | 1649093824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNDI MARIE GERSTENBERGER Owner 208-946-8044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-11-05 |