| NPI | 1841295227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA WELLARD Director Of Nursing 208-524-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2010-03-02 |