| NPI | 1053596064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE EVANS-CAZIER Sole Proprietor 801-582-0208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 59708823501) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |