| NPI | 1164967097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME CHRISTENSEN Trustee 801-866-7762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: UT 102037560140) |
| Additional Taxonomies | 251S00000X (Licence: UT 102037560140) |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2017-01-02 |