| NPI | 1619681582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN HOUSE Administrator 307-349-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-25 |