| NPI | 1427115245 |
|---|---|
| Other Name | CAMP KOSTOPULOS |
| Entity Type | Organization |
| Authorized Contact | GARY ETHINGTON Executive Director 801-582-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2050X Respite Care, Respite Care Camp (Licence: UT C126) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |