| NPI | 1295879542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD JENSEN Owner 208-861-8360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: ID 8065566500) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |