| NPI | 1669819496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WELSH Enrolment Speacialist 208-489-4635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: ID 908) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |