| NPI | 1437823218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHAR LAWRENCE Owner 801-867-2674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-08-04 |