| NPI | 1346402864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ENDY Director 801-399-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 375752-6004) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |