Organization
EASTERN UTAH EARLY INTERVENTION, INC.
Active
Other names
PrimeTime 4 Kids
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PETERSON OT (DIRECTOR)
(435) 789-5409
Entity
Organization
Contact information
Practice address
1360 W HIGHWAY 40, VERNAL, UT 84078-4203
(435) 789-5409
(435) 789-5478
Mailing address
1360 W HIGHWAY 40, VERNAL, UT 84078-4203
(435) 789-5409
(435) 789-5478
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/15/2006
Last updated
08/22/2020
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