| NPI | 1760810337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUDRUN ULRIKE MIRIN Clinical Social Worker 801-408-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: UT 932611213501) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |