| NPI | 1023121290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRIE AHLSTROM Community Health Supervisor 435-843-2310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2008-04-20 |