| NPI | 1003225277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARETTE MONSON Owner 801-980-1343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 8281400-0144) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |