| NPI | 1225254956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M. MICHELLE GOURLEY Owner 801-983-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 12126) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2013-04-16 |