| NPI | 1396921581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE MOWRY Program Manager 208-888-6068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-17 |