| NPI | 1174924310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAUGHN HEATH Clinical Director 801-690-6247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: UT 9875) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |