| NPI | 1992902530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THANA SINGARAJAH Executive Director 208-529-8832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: ID MD) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |