NPI | 1093920613 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES HOSEA CEO 801-878-0191 |
Organization Subpart ? | No |
Primary Taxonomy | 253J00000X Foster Care Agency (Licence: UT 16265) |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: UT 12483) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2010-06-09 |