| NPI | 1164168787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUITA VALDEZ CRUZE Founder 801-634-6918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2022-05-06 |