| NPI | 1871389585 |
|---|---|
| Doing Business As | FCMC DEVELOPMENTAL DISABILITIES AGENCY (FOR CHILDREN) |
| Entity Type | Organization |
| Authorized Contact | SHENANDOAH LAYNE TROUMBLEY Revenue Cycle Director 208-852-4125 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |