| NPI | 1659939536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH L VON BARGEN Nurse Practitioner, Owner 208-791-6183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2023-04-07 |