| NPI | 1225475924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIW ANN BARBERO President/Owner 801-231-1925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT LIC2013-01790) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |