| NPI | 1710834395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL BAMPENDI Director 208-173-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2026-03-12 |
| Last Update Date | 2026-06-04 |