| NPI | 1225540537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIELA J LEMMONS Office Manager 208-734-8973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2018-06-16 |