| NPI | 1003323767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LUND Executive Director 801-664-3741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |