Provider Demographics
NPI:1922325711
Name:ISAT
Entity Type:Organization
Organization Name:ISAT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:VALCARCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-268-4454
Mailing Address - Street 1:321 N MALL DR STE A101
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7303
Mailing Address - Country:US
Mailing Address - Phone:435-628-8075
Mailing Address - Fax:
Practice Address - Street 1:321 N MALL DR STE A101
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7303
Practice Address - Country:US
Practice Address - Phone:435-628-8075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4860062-3501253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency