| NPI | 1689828071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARK THOMAS PEARSON Director 435-201-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2011-02-25 |