| NPI | 1962492504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANIE PETTIT Manager 801-554-6992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: UT 19967974) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2020-08-22 |