| NPI | 1154092351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA WATERS Executive Director 208-703-2097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-09-27 |