| NPI | 1124774310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAWEH ETMINAN-RAD Owner/President 406-360-3696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-02-25 |