| NPI | 1407944408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONNA M WINGET L.C.S.W. 435-896-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 94-140886-3501) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |