| NPI | 1063627263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN MILLER TUCKETT Administrator 208-888-2350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: ID 8072455) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |