| NPI | 1144913252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTENE BLAIR Administrator 208-501-6361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2025-12-09 |