NPI | 1477674380 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISSIE A MUNSON President 208-454-2766 |
Organization Subpart ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: ID LSW2488) |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: ID LSW2488) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2020-08-22 |