| NPI | 1447549621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH TAMSAMOA AHQUIN Executive Director 435-229-4889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: UT 17321) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: UT 17746) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: UT 17746) | |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |