| NPI | 1386733277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHU H CHENG Executive Director 801-467-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: UT 11254) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: UT 11254) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: UT 11254) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |