| NPI | 1922205574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THANA SINGARAJAH Executive Director 208-529-8832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |