| NPI | 1871935064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA NEIGHBORS Office Manager 208-377-9814 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: ID RHA-3904) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: ID DDA-3922) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |