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 |