| NPI | 1104956390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERROD K CATMULL Owner 208-312-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: ID 5PBSYSTEM087) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-10-03 |