| NPI | 1992789101 |
|---|---|
| Other Name | STATE HOSPITAL SOUTH |
| Entity Type | Organization |
| Authorized Contact | TRACEY G. SESSIONS Hospital Administrator 208-785-8402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: ID #17) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2013-05-08 |