| NPI | 1881074235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER CASTANEDA Administrator 208-453-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |