| NPI | 1972643997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J BROCK President 208-525-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID M7908) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-12-03 |