NPI | 1891530820 |
---|---|
Doing Business As | GEMBA BOISE |
Entity Type | Organization |
Authorized Contact | DAMON BERNARD ZIMMERMAN Owner 208-830-8697 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
106H00000X Marriage & Family Therapist | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
225X00000X Occupational Therapist | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2024-07-01 |
Last Update Date | 2024-07-01 |