| NPI | 1255040606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLEE HONE Office Manager 801-440-8348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2023-09-12 |