| NPI | 1083932727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIMA MUTI TUPUA Office Manager 801-474-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: UT 16167) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: UT 16168) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |