| NPI | 1306753835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFARA NAOMI PIETERSMA Provider 307-514-1598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2026-08-27 |
| Last Update Date | 2026-08-27 |