NPI | 1164304770 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHERINE STENQUIST Owner 801-691-3278 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-07-24 |
Last Update Date | 2025-07-24 |