| NPI | 1710207303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN BROOKS Owner 801-337-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 15766) |
| Additional Taxonomies | 253J00000X Foster Care Agency (Licence: UT 15765) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |