| 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 |