| NPI | 1700649597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL TONGA LANGI Owner 801-472-0383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |