| NPI | 1386352631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDIE CRYSTAL PATERAKIS Member 801-821-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |