| NPI | 1376725515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERENCE M KEEHAN Treasurer 801-755-1977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 13366) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |