| NPI | 1225406754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN MASTERS Self 307-251-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2022-07-21 |