| NPI | 1457652810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RUSSELL MARCHEL Agency Administrator 801-969-3307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: UT 2714922501) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |