| NPI | 1699932509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DANIEL O'NEILL President 208-664-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: ID CHIA469) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-09-18 |