NPI | 1124648340 |
---|---|
Entity Type | Organization |
Authorized Contact | GLORIA ANGELA MILATZO-REIFF Owner/Provider 307-214-6897 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2020-04-17 |
Last Update Date | 2020-04-17 |