| NPI | 1801816632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT ALLEN CROOK Owner 208-667-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID 0-134) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2014-03-18 |