| NPI | 1003632472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHELL STUBBS Owner 435-590-8241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |