| NPI | 1861228751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY LOFTUS Management Services Director 435-896-5451 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |