| NPI | 1295067189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA BRUNISHOLZ Director 801-347-0074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 7562489-0160) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2015-02-17 |