| NPI | 1831300391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSI E ECKLEY Office Manager 208-468-8984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: ID 807282300) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: ID 806239500) |
| 251E00000X Home Health (Licence: ID 806000100) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |