| NPI | 1376327429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOLEIL ANDERSON CEO 435-512-0458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |