| NPI | 1093594830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOELLYN ORCUTT MANVILLE Owner 801-669-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-21 |