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 |