| NPI | 1003999475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY J DEPRIZIO President/Administrator 801-485-8051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 10650) |
| Enumeration Date | 2006-10-22 |
| Last Update Date | 2022-07-21 |