| NPI | 1285088609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK BEDOLLA Executive Director 801-792-1057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |