| NPI | 1396141305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT GORDON HANSEN Administrator 208-704-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: ID DDA-999) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2023-12-12 |