| NPI | 1063456143 |
|---|---|
| Doing Business As | NEUROBEHAVIOR HOME PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JOSETTE DORIUS Service Director 801-587-3108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2012-02-07 |