| NPI | 1174600993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY M RICHARDS Lcsw 801-273-3943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 124145-3501) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |