| NPI | 1326583022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S BAIN Owner/Therapist 801-707-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 6628490-3501) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |