NPI | 1508110040 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON LEE WHITE President 435-459-9828 |
Organization Subpart ? | No |
Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: UT 8432483-1202) |
Enumeration Date | 2012-11-06 |
Last Update Date | 2013-02-21 |