| NPI | 1891104014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES AROET WHITAKER President 208-322-5922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: ID O-0794) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |