| NPI | 1164563508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY J JONES Program Manager 208-334-5523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2013-08-05 |