| NPI | 1952671869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE STEPHENSON Owner/Manager/Certified Colon Hydro 208-703-9771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: OR CCHT-MCS2011) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |