| NPI | 1427350933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA DELHEIMER Director 801-355-2846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 7763859-6009) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |