| NPI | 1952687089 |
|---|---|
| Other Name | INTERMOUNTAIN OUTPATIENT PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER WILLIAMS CAO 406-457-4822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2023-11-28 |