| NPI | 1386871879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN BURNINGHAM Owner 406-250-6651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: MT na) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |