| NPI | 1316120140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER TRIMBLE Executive Director 307-265-9565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: WY 124725500) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: WY 124725500) |
| Enumeration Date | 2007-12-15 |
| Last Update Date | 2007-12-15 |