| NPI | 1366679441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVEZ MCGILL CFO 801-483-2447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 3643443501) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2020-01-14 |