Organization
HIGH DESERT PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN GRANT HARBISON MD (OWNER)
(208) 315-6444
Entity
Organization
Contact information
Practice address
4477 W EMERALD ST STE C275, BOISE, ID 83706-2078
(208) 315-6444
Mailing address
1775 W STATE ST STE 123, BOISE, ID 83702-3924
(208) 615-6444
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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