| NPI | 1164556189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL EINHORN Executive Director 801-746-4334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 580035-0140) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |