| NPI | 1154942860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LYLE CHRISTENSEN CEO 435-559-9857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2024-06-26 |