| NPI | 1710328471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SPARKUHL CEO 208-461-1774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-1802) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |