| NPI | 1013973502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA FALVO Executive Director 801-263-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 103TC0700X Psychologist Clinical | |
| 1041C0700X Social Worker Clinical | |
| 104100000X Social Worker | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2011-08-25 |