| NPI | 1285195446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL S FLACK Acting Executive Director 801-214-7681 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |