NPI | 1669110649 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN ELAINE GILES Founder, Psychiatrist, Cmo 208-850-3061 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2022-05-20 |
Last Update Date | 2022-05-20 |