| NPI | 1033947619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON R WAGNER Owner 801-810-5037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-24 |