| NPI | 1619826997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE J CRUZ Owner/Operator 307-389-1816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2026-01-28 |
| Last Update Date | 2026-01-28 |