| NPI | 1477086114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI L COPELAND Owner/Administrator 208-377-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |