| NPI | 1700906054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY R. FOWLER Administrator 208-853-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |