NPI 1154092351
Include Autism, INC.
Practice location
- Address
- 11779 W Alcott St, Boise, ID 83709-7749
- Phone
- (208) 703-2097
Authorised official
- Name
- Tina Waters
- Title
- Executive Director
- Phone
- (208) 703-2097
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1154092351
- Entity type
- Organization
- NPI issued
- 27 Sep 2021
- Record last updated
- 27 Sep 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.