| NPI | 1356357115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORAN WILLIAMS Associate Directore 801-373-4760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2021-04-30 |