NPI | 1083739106 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAUNA LOCKWOOD Regional Director 307-782-6601 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-08-22 |