NPI | 1699058586 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON WILDE Executive Director 801-773-0712 |
Organization Subpart ? | No |
Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: UT 17951) |
Enumeration Date | 2011-09-27 |
Last Update Date | 2011-09-27 |