| NPI | 1902155773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT T. WECHSLER Owner 208-275-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID M9221) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-07 |