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 |