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 |