| NPI | 1114780848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN PATEL CEO 801-859-4087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |