NPI | 1033612072 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA HINKLE Owner 801-529-6029 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-03-15 |
Last Update Date | 2020-02-29 |