| 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 |