| NPI | 1679816912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C. JARED WHITE CEO 208-705-6399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2025-08-22 |