| NPI | 1477674380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISSIE A MUNSON President 208-454-2766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: ID LSW2488) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: ID LSW2488) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2025-09-11 |