| NPI | 1184019457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CACERES-LOVELESS Co Founder/Clinical Director 801-935-5796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: UT 1022390) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2016-02-08 |