| NPI | 1134542582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY JANE JENKINS CEO 801-949-1323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: UT 3588446004) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |