| NPI | 1326406596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HARPER Director/Owner 801-425-7247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 8784266-6004) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |