| NPI | 1871602987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN PAUL MELLOR Chiropractic Physician 208-356-6009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: ID C343) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-02-06 |