| NPI | 1003542929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLYN WEIGHT Owner 801-380-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-11-18 |