| NPI | 1417913575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE K JACOBSON President And Psychologist 801-272-0614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: UT 1162592501) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2018-03-16 |