| NPI | 1932412103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA DALE MORGAN Owner 208-882-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID M6219) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |