| NPI | 1265556435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JED ROBERTSON Manager 208-497-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2025-05-12 |