| NPI | 1295548865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL BRADLEY SIMPSON Owner 435-574-9217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-01-28 |