| NPI | 1427376235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC HAMMON President 801-573-5391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 4831438-6004) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |