| NPI | 1649452863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA KAHN Occupational Therapist 435-659-1746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: UT 6267199-4201) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2008-06-16 |