| NPI | 1407939218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROY MARTIN VP Finance 307-742-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 251S00000X | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2018-09-07 |