| NPI | 1174062590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ANN JUDKINS Community Health Worker 801-686-0310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |