| NPI | 1225403611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA HENDERSON Owner 801-688-1023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: UT 114589-4701) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |