| NPI | 1386944171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY SABRINA MORALES CEO 801-262-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: UT 171R00000X) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |