Provider First Line Business Practice Location Address:
16 12TH AVE S, SUITE #103
Provider Second Line Business Practice Location Address:
COOK TAFOYA FISHER BEHAVIORAL HEALTH
Provider Business Practice Location Address City Name:
NAMPA
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83651-3936
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-461-3720
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/06/2012