| NPI | 1700490067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANGI SOFELE Program Director 801-906-9483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-10-01 |