| NPI | 1356623474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRETT BONNELLA Director Of Family Services 801-467-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 18031) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |