| NPI | 1356669360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD LUNDAHL Psychologist/Owner 801-635-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 295041-2501) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2017-05-10 |