| NPI | 1700890068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONA M BRUMPTON President 208-859-7435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: ID LMFT-2861, LCPC-378) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2011-10-23 |