- Agency Name
- AXIOM SUPPORT SERVICES LLC
- Service Type
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Address
- 10552 W GARVERDALE CT STE 904, BOISE, ID 83704
- Phone Number
- (208) 701-4498
- NPI Number
- 1972429546
- Authorized Official
- MOHSEN AMIRMOJAHEDI (Owner)
- Enumeration Date
- 2026-06-26