| NPI | 1891529392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA DESIREE NORRIS President 307-267-4172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-08-27 |