| NPI | 1477201457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN WAYNE CAPPS Cheif Executive Officer 541-543-5482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 3747A0650X Technician Attendant Care Provider | |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-03-17 |