| NPI | 1144366576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN FAZZINI President 208-465-5114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: ID 3DIMIND006) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: ID 4DIMOND036) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-05-05 |