| NPI | 1376050237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE GONZALEZ Lcsw 801-597-9558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-01-01 |
| Last Update Date | 2020-02-20 |