| NPI | 1326799941 |
|---|---|
| Doing Business As | OUTPATIENT BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | CLIFTON R UCKERMAN Owner 801-707-8235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2023-10-11 |