| NPI | 1790155547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY COYLE President/ Clinical Director 435-962-3661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: UT 1-15-18367) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |