| NPI | 1265890834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LEE BARNES Case Manager 307-534-5854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: WY 155079) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |