| NPI | 1497116099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY PHILLIPS Owner 208-455-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-10 |