| NPI | 1912125972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRIE'L JENSEN President 208-425-3458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: ID 6GRACED089) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |