| NPI | 1235751389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE BACA Owner 307-757-5868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |