| NPI | 1871745372 |
|---|---|
| Doing Business As | VALLEY SOUTH HOSPITAL FOR GERIATRIC PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | CARLEEN WELLARD Administrative Assistant 208-221-2019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |