| NPI | 1104948322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MCKAYLA MATLACK CEO 208-524-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: ID 02396600) |
| Additional Taxonomies | 261QA0600X Clinic/Center Adult Day Care |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2025-06-11 |