| NPI | 1104092634 |
|---|---|
| Doing Business As | WESTERN SAND PLAY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | PAMELA KAY MAYES President 801-356-2864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: UT 52593000140) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |