| NPI | 1841301934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID OSTER CEO 208-344-3261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: ID M7900) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |