| NPI | 1033407606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADNEY MA'ANAIMA MARION REID Clinical Director 801-885-1216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: UT 18025) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: UT 18028) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2014-04-15 |