| NPI | 1538370895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY D ADAMS Owner 307-256-9323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |