| NPI | 1093202095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYJA MAKI Extended Services Manager 208-861-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 171W00000X Contractor | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2025-10-01 |