| NPI | 1649462920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRIE A AHLSTROM Community Health Supervisor 435-843-2310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2008-04-20 |