| NPI | 1407634736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY ATKIN Owner 801-856-2647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |