| NPI | 1235259797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HAROLD IBARGUEN Owner Support Coordinator 801-663-9563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: UT 1033) |
| Additional Taxonomies | 251B00000X Case Management (Licence: UT 1028) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |