| NPI | 1003962119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICCOLIA L TANGEN Owner 208-713-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2012-04-26 |