| NPI | 1730615972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE HAGEL President 208-676-9385 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: ID DDA-5359) |
| Enumeration Date | 2017-05-09 |
| Last Update Date | 2017-05-09 |