| NPI | 1215269139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN ROBINSON Director 801-230-8785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 7570264-0142) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-02 |