| NPI | 1720369721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD LEVESQUE Medicaid Enrollment Specialist 208-922-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) (Licence: TX 049905) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |