| NPI | 1750429262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN LYNN OTTE Provider 307-721-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |