| NPI | 1073939252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE JAUSSI Director/Owner 801-726-3563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 1958) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |