| NPI | 1568979326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA SAUER Executive Director/Administrator 208-616-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: ID W192684) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2019-11-13 |