NPI | 1891219762 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW FICHIALOS Owner/CEO 801-674-0015 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
Additional Taxonomies | 251E00000X Home Health |
Enumeration Date | 2017-08-01 |
Last Update Date | 2017-08-01 |