NPI | 1508073776 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK W WISEMAN Owner 208-316-1237 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2007-05-17 |
Last Update Date | 2020-08-22 |