Canyon Creek Developmental Services
NPI #1477617165 in Caldwell, Idaho
Provider Information
- NPI Number
- 1477617165
- Entity Type
- Organization
- Organization Name
- Canyon Creek Developmental Services
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Dec 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MRS. BETH A MOODY
- Title
- CFO
- Phone
- (208) 454-6266
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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