| 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 |