| NPI | 1134336944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BRAD BURTON Director 801-422-4036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 1163463942) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-06-23 |