| NPI | 1982475091 |
|---|---|
| Other Name | ISU COMMUNITY PSYCHIATRIC CENTER |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LEE ROCK Clinics Director Of Operations 208-373-1743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-02-27 |