| NPI | 1194895359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY JANE LILEY Vice President Of Business Services 307-637-8869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-09-17 |