| NPI | 1609734326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MING Executive Director 208-807-8653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251E00000X Home Health |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 347E00000X Transportation Broker | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2026-01-12 |
| Last Update Date | 2026-01-12 |