| NPI | 1003941717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHANEY Com PT Roller 208-888-1758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: ID 4INCLUS015) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |