| NPI | 1003243940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE BRINGHURST Management Director 801-310-4903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |