| NPI | 1275961781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROCK HOWICK Director Of Mental Health 435-248-0373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: UT 2903) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-11-15 |