Organization
UTAH STATE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN THAIN OLSEN (DIVISION DIRECTOR)
(435) 797-7461
Entity
Organization
Contact information
Practice address
150 E CENTER ST, MOAB, UT 84532-2430
(435) 797-7461
(435) 797-0090
Mailing address
6810 OLD MAIN HL, LOGAN, UT 84322-6810
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/01/2010
Last updated
08/23/2010
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