| NPI | 1326496654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SCOTT LANDON Executive Director 801-960-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 87657390160) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2025-03-25 |