NPI | 1669572780 |
---|---|
Doing Business As | RESTORED HORIZONS |
Entity Type | Organization |
Authorized Contact | MICHAEL WHITING President 208-687-5627 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M8126) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2019-03-18 |