| NPI | 1154476646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA L KNELL Owner 307-332-7415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: WY 121207900) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: WY 121207900) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |