| NPI | 1417258237 |
|---|---|
| Doing Business As | SLC BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | STEVEN H MOELLER Accounting Supervisor 218-726-2057 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |