| NPI | 1205112885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN B HODSON Owner/President 801-461-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 51417) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |