| NPI | 1083362065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM BERGER Account Administrator 208-270-1309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2026-03-17 |