| NPI | 1356630354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REID JUSTIN ROBISON Medical Director 801-810-7311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: UT 370399-1205) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |