| NPI | 1316061054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LOUISE GUSMAN Owner 208-461-0438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2022-07-21 |