| NPI | 1184781429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M. SUSAN HORNE Medicaid Manager 801-756-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: UT 0603729S006) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2010-09-01 |