| NPI | 1235625385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER M OLSEN Executive Director 801-413-7784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital Children (Licence: UT 60981) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: UT 60981) |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: UT 54661) | |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |