NPI | 1235997651 |
---|---|
Entity Type | Organization |
Authorized Contact | TYLER ORAM Administrator 208-921-4458 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2024-03-11 |
Last Update Date | 2024-03-27 |