| NPI | 1174694095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN CLEMENTS Financial Officer 435-797-5830 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2018-08-28 |