| NPI | 1063039535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIVANI MEHTA CEO 801-615-1796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |