| NPI | 1811549637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELENA PATERSON Director Of Operations 208-954-5591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |