| NPI | 1578434767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCAS DOREY MARTIN Executive Director 435-713-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2025-09-12 |