| NPI | 1043332430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON MAX MICKELSON Partner 307-389-9169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |